Facial Injections: Info, Prices, Photos, Reviews, Q&A

Botox can be used in many different ways to manipulate the brow position. In most patients, a slightly higher brow position is desirable in order to create a more youthful appearance.

The muscles around the brows work in different ways to affect the position of the brow. The frontalis muscle is the large sheet of muscle in the forehead that elevates the brow and creates the horizontal forehead lines that occur when you raise your brows.

The corrugator and procerus muscles are located in the glabella area between the eyebrows and work to create frown lines, “11” lines, and bring the brows down and toward the middle.

Finally, the orbicularis oculi muscles are circular muscles around the eyes that help to close and squint the eyes.

They also tend to constrict when you smile, and when they contract, they cause the crow’s feet lines and tend to bring the brow down (particularly the lateral or outer portion of the brow).

By relaxing the muscles that bring the brow down (those in the glabella area and crow’s feet areas) with Botox, the brow position can be elevated slightly.

Keep in mind that the results are generally subtle and not as dramatic as a surgical brow lift, but can make for a very nice improvement in many patients. (Matthew Richardson, MD, Frisco Facial Plastic Surgeon)

In order to raise the brow with botox, we need to weaken the muscles that pull the brow down. These are the corrugator muscles and lateral orbicularis occuli muscles located on either side of the eyebrow.

When these muscle stop contracting, it allows the brow to raise naturally. Your physician will give you a detailed plan based on your exact anatomy. (Neil J. Zemmel, MD, FACS, Richmond Plastic Surgeon)

h5>Creating a browlift with Botox

Ultimately, where Botox is injected to create your browlift will depend on which muscles activate to pull your brow down. Your injecting surgeon/dermatologist can asses and show you which muscles need to be injected to give you the kind of browlift you want. (Anifat Balogun, MD, Seattle Otolaryngologist)

How to create a Botox brow lift

Botox is a purified protein used to address wrinkles associated with facial expression.

Placement of Botox can be confusing and seemingly contradictory. This is because of how Botox works. Botox works by relaxing muscles.

In order to raise the brows with Botox one must relax the muscles that pull the brows down.

These muscles are located between the brow and at the corners of the brow. The pivotal studies demonstrated that the peak effects are seen 14 days after the treatment and most people enjoy their results for 3-4 months.

Please consult with a doctor for specific recommendations. (Alex Eshaghian, MD, PhD, Encino Physician)

It depends on where you want the brow to be lifted. If the arch of your brow is what concerns you, then the injection occurs in the frontalis muscle on the forehead. If you want the tail of your brow lifted then injections occur at edge of the muscle surrounding your eye.

You may also get a slight lift with the medial brow when the corrugator muscle is injected. An experienced injector should be able to tell you exactly where your injections need to be in order to achieve your aesthetic goals. (Marc J. Salzman, MD, FACS, Louisville Plastic Surgeon)

In women 3-5 units of Botox into the lateral brow gives elevation of the tail of the brow. 20-25 units into the frown area (glabella) gives elevation of the medial brow. (Maurice M. Vick, Jr., MD, Baton Rouge Urologist)

Lifting the brows with botulinum toxin (botox, xeomin or dysport) is done by reducing the strength of the downward pulling muscles. That may include the muscles between the eyebrows, those over the eyebrows and even those at the end of the eyebrows by the crow’s feet.

Where and how much to inject is dependent on your facial anatomy. That is why it is important to get your evaluation by a board certified core cosmetic physician (dermatologist, plastic surgeon, facial plastic surgeon, oculoplastic surgeon). (Heidi A. Waldorf, MD, New York Dermatologist)

Botox Browlift

Muscles that control the brow can either pull them down/ depress them or lift them. The forehead muscle, aka frontalis, is the only muscle that truly elevates the brows.

This area is commonly botoxed to eliminate horizontal forehead wrinkles, but has to be done with caution as getting to close to eye brow or treating the mid-forehead region risks the possibility of creating heavy/ drooping eyebrow.

THis is more common in elders. The muscles that pull down the eyebrows procerus muscle, corrugator supercilii, depressor supercilii muscles, and the medial portion of the orbicularis oculi muscle. The first 3 are in between the medial parts of the eyebrow while the orbicularis muscle is a circular muscle that is preferentially treated in areas to help open up the eye. (Sapna A. Patel, MD, Seattle Facial Plastic Surgeon)

A Botox Brow Lift is a descriptive term for the effective result achieved through weakening the brow depressor muscles (orbicularis oculi, procerus, and corrugator supercilii). The “Lift” is achieved through the unopposed action of the frontalis muscle (what causes the eyebrows to elevate when surprised). (Eric Rosenberger, MD, Austin Otolaryngologist)

Where should you inject Botox to elevate the brows?

In my opinion, the outer aspect of the brow can be elevated by injecting the orbicularis oculi or the muscle that closes the eye. By relaxing that muscle the tail of the brow comes up.

You can also elevate the medial brow by treating the procerus and corrugator muscle and that will elevate the medial brow. Also you can use filler to elevate the tail of the brow as well. (Plastic surgeon – Bowling Green, KY). (Bernard S. Salameh, MD, Bowling Green Physician)

Botox Can Lift Eyebrows for a More Youthful Look

A dermatologist with expertise in using Botox for a nonsurgical browlift will first examine your face to determine your particular anatomy, facial expressions and underlying muscle structure. When performing browlifts with a neurotoxin such as Botox, we do not inject the muscles above the brow because those are the ones that lift the brow and pull sagging eyelid skin upward, making the eye look more youthful and alert.

Instead, we very carefully inject small amounts of Botox in the muscles that cause the brows to draw downward. Without the resistance of these muscles, the eyes remain more open and youthful looking. Please schedule an appointment with a board-certified dermatologist to find out more about this Botox. (Melda A. Isaac, MD, Washington DC Dermatologic Surgeon)

The position of your brow is determined by two groups of muscles Muscles that lift the eyebrow and muscles that lower the eyebrow. In order to get a brow lift, Botox must be injected into the muscles that lower the eyebrow.

These muscles are located in the area of the crow’s feet. Injecting into these muscles weaken the muscles that lower the eyebrow, thus allowing the muscles that pull the brow up to work better.

The net effect is a subtle lift of the eyebrow. There are different techniques to accomplish this effect. One such technique is to inject in the outermost tail of the eyebrow. There are many variations of this technique.

Consult with a Board Certified Plastic Surgeon to discuss which technique is best for you. (John Diaz, MD, Beverly Hills Plastic Surgeon)

Chemical brow lift with botulinum toxin (dysport,etc)

The outer portions of the eye muscles (crow’s feet area) pull down the brow when forcibly contracted or squeezed. By injecting them with Botulinum toxin, it can weaken or limit this effect creatin the appearance of a brow lift. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)

BRow lifting

To lift the brow, you have to neutralize the muscles that pull the brow down. Usually injecting just below the lateral eyebrow helps to lift the brow. (Steven Wallach, MD, New York Plastic Surgeon)

Where to inject Botox for brow lift

Botox is injected in the frown area to lift the central part of the brow, and it is injected near the tail ends of the eyebrows to lift this area of the brow. Sometimes, a few drops are also placed in the central mid brow to accentuate the lift at the sides of the brow. (Lawrence Osman, MD, Los Angeles Dermatologic Surgeon)

Your board certified dermatologist or plastic surgeon will know the pattern when he/she sees how your muscles move. Be sure to let her/him know that your main objective is a brow lift. Let them know if you want a lateral brow lift or more of a total lift. (Mary P. Lupo, MD, New Orleans Dermatologist)

Botox injected to create a browlift

Areas are lateral inferior eyebrow and high in the forehead. But the injector can give you a better description and show the areas. (Darryl J. Blinski, MD, Miami Plastic Surgeon)

Injection point for Botox Browlift

The injection point is different depending on the type of lift and which muscle you use to elevate your brows. Most commonly the injections is placed right under the lateral portion of the brow thus enabling the Frontalis or forehead muscle to pull up the brow.

If you have a fair amount of atrophy the injections may be above the brow. Don’t get caught up on a specific spot. It is all about your particular anatomy and if you want a rounded, arched or flaired brow.

Word of caution, make sure your injector has been trained properly and knows the facial anatomy. Three months is a long time to endure a drooped brow if they inject in the wrong location. (Michael L. Workman, MD, Portland Plastic Surgeon)

Botox brow lift

There are two zones that normally pull down on the forehead. If we prevent this contraction, than the opposing muscle groups of the forehead help lift up the eyebrows and forehead skin. One area is the upper outer Crows feet area in the tail of the eyebrow and the other is the glabella, between the eyebrows. (Ronald Shelton, MD, Manhattan Dermatologic Surgeon)